About the Role
We are seeking a motivated and detail-oriented Medical Claims Executive (UAE National) to join our Medical Claims team. This role is ideal for fresh graduates from medical and healthcare-related disciplines who are interested in building a long-term career within the insurance industry. The successful candidate will be responsible for reviewing, assessing, and processing medical claims in accordance with company policies, medical guidelines, and regulatory requirements.
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What You Will Do
- Review and process medical insurance claims accurately and within agreed service standards.
- Verify claim documentation, medical reports, treatment records, and supporting documents.
- Assess claims eligibility based on policy coverage, exclusions, and benefits.
- Coordinate with healthcare providers, hospitals, clinics, and internal stakeholders to obtain additional information when required.
- Ensure compliance with company procedures, medical protocols, and regulatory requirements.
- Identify discrepancies and escalate complex cases for further review.
- Maintain accurate records and updates within the claims management system.
- Support customer and provider inquiries related to claim status and documentation requirements.
- Contribute to continuous improvement initiatives aimed at enhancing claims efficiency and customer experience.
Required Skills to Be Successful
- UAE National with Family Book (Emirati) – Mandatory
- Bachelor's Degree in:
- MBBS (Medicine)
- Pharmacy
- Medical Laboratory Sciences
- Nursing
- Biomedical Sciences
- Or any other medical or healthcare-related discipline
Experience
- Fresh graduates are encouraged to apply.
- Previous internship or healthcare-related experience will be an advantage but is not mandatory.
- Candidates must demonstrate a strong interest in pursuing a career within the insurance industry.
What Equips You for the Role (Skills Required)
- Good understanding of medical terminology and healthcare concepts.
- Strong analytical and problem-solving skills.
- Excellent verbal and written communication skills.
- Attention to detail and accuracy.
- Ability to work under pressure and manage high volumes of work effectively.
- Strong organizational and time management skills.
- Customer-focused and service-oriented mindset.
- Proficiency in Microsoft Office applications.
- Ability to work both independently and collaboratively within a team.
